Individual
DR. CATHERINE A COLQUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1307 8TH AVENUE, SUITE 306, FORT WORTH, TX 76104-4141
(817) 921-0123
(817) 924-1717
Mailing address
1307 8TH AVENUE, SUITE 306, FORT WORTH, TX 76104-4141
(817) 921-0123
(817) 924-1717
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
H1365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J32T
GROUP MEDICARE NUMBER
TX
01
—
00J33T
GROUP MEDICARE NUMBER
TX
01
—
0831497-03
GROUP MEDICAID NUMBER - TPI
TX
05
—
1282196-06
—
TX
05
—
128219604
—
TX
01
—
128219607
MEDICAID TPI
TX
01
—
PH0004
GROUP MEDICARE NUMBER
TX
Enumeration date
07/26/2005
Last updated
05/17/2021
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